Basic Information
Provider Information
NPI: 1396720108
EntityType: 2
ReplacementNPI:  
OrganizationName: RESP-I-CARE, INC.
LastName:  
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Mailing Information
Address1: 3325 BARTLETT BLVD.
Address2:  
City: ORLANDO
State: FL
PostalCode: 32811
CountryCode: US
TelephoneNumber: 4072060040
FaxNumber: 4072060010
Practice Location
Address1: 648 EASTERN STAR RD
Address2:  
City: KINGSPORT
State: TN
PostalCode: 37663
CountryCode: US
TelephoneNumber: 4233499000
FaxNumber: 4233499005
Other Information
ProviderEnumerationDate: 12/14/2005
LastUpdateDate: 06/08/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: GRIGGS
AuthorizedOfficialFirstName: STEPHEN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO/ PRESIDENT
AuthorizedOfficialTelephone: 4072060040
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: AEROCARE HOLDINGS, INC.
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000X  N SuppliersDurable Medical Equipment & Medical Supplies 
332BX2000X TNY SuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies

No ID Information.


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